Individual
POOYAN TAVASOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10445 REED ST, WESTMINSTER, CO 80021-6063
(303) 410-8330
Mailing address
10445 REED ST, WESTMINSTER, CO 80021-6063
(303) 410-8330
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0024835
CO
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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